Single-operator cholangiopancreatoscopy in pancreatobiliary diseasesclinical experience in a tertiary referral hospital

  1. Vicente Pons 1
  2. Noelia Alonso Lázaro 1
  3. Rodrigo Mansilla Vivar 1
  4. Esteban Sáez González 1
  5. Marta Ponce 1
  6. Lidia Argüello Viudez 1
  7. David Ramos Soler 1
  8. Judith Pérez Rojas 1
  9. James Leathers 1
  10. Marco Bustamante 1
  11. Grupo de Investigación de Endoscopia Digestiva 1
  1. 1 Hospital Universitario y Politécnico La Fe. Valencia, Spain
Revista:
Revista Española de Enfermedades Digestivas

ISSN: 2340-416,  1130-0108

Año de publicación: 2018

Volumen: 110

Número: 12

Páginas: 748-754

Tipo: Artículo

DOI: 10.17235/REED.2018.5837/2018 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Revista Española de Enfermedades Digestivas

Resumen

Background and aims: to assess the usefulness, efficacy and safety of single-operator cholangiopancreatoscopy (SOCP) with the SpyGlass™ system for the management of biliopancreatic diseases. Methods: a retrospective analysis of patients undergoing SOCP with the SpyGlass™ between September 2008 and April 2016 was performed. Data was obtained from a prospectively-maintained database at a tertiary referral center. The primary study outcomes were technical and complete endoscopic success of the procedure. Two different SpyGlass™ systems were employed; the former is called legacy and the latter, digital system (DS). Results: a total of 107 SOCP procedures in 93 patients performed by a single operator were analyzed. Technical success of the SpyGlass™ examination was achieved in 90/93 (97%) of patients and complete success by resolving the biliopancreatic condition in 82/93 (88%) cases. In indeterminate biliary strictures, a complete success was achieved in 45/52 (85%) of cases. With regard to stone treatment, technical success was achieved in 34/34 (100%) patients and complete success, in 31/34 (91%) cases. Electrohydraulic lithotripsy was applied in 16/34 (47%) of cases. There were a total of 7/93 adverse effects (7.5%). Conclusions: SOCP is a useful and safe technique for the treatment of biliopancreatic diseases with a low rate of adverse effects. The procedure seems technically demanding and dedication is required.

Fuente de los datos: Dialnet